Individual
KRISTIE LEA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QSP
Contact information
Practice address
824 GREAT PLAINS CT # 8, GRAND FORKS, ND 58201-7250
(701) 335-3146
Mailing address
824 GREAT PLAINS CT, GRAND FORKS, ND 58201-7250
(701) 335-3146
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ND1454615
—
ND
Enumeration date
10/19/2020
Last updated
10/19/2020
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